Get the real deal on beauty treatments—real doctors, real reviews, and real photos with real results.Here's how we earn your trust.

POSTED UNDER Eyebrow Transplant REVIEWS

Eyebrow Transplant Review - Manhattan, NY

ORIGINAL POST

I'm in my 40s and had developed thin and...

marybt
WORTH IT$6,000
I'm in my 40s and had developed thin and assymetrical brows caused by a past of overplucking. Actually, pulling but that’s another story for another day. Every day I would use an eyebrow pencil to fill them in and even them out as best that I could. I thought that this was what I’d have to do every day of the rest of my life until I found out about eyebrow transplants. After doing a lot of research, mostly on this site, I concluded that good results were likely as long as the right doctor was chosen. Although I could have gotten the procedure done for probably half the cost, I decided that it would be worth the money to have the confidence that I would be practically guaranteed the right result if I used the right doctor. I chose Dr. Jeffrey Epstein, who is based out of Miami but also travels to Manhattan NY every few weeks. I live in Connecticut so scheduled the procedure with him in NY after providing photos over email so he could get a sense for what he had to work with going in prior to me showing up the day of the appointment.
Going into the procedure I really wasn’t nervous that I’d have a bad result. Based on my research I felt that the worst that would happen is that I’d be left with a similar situation of needing to pencil in brows and be out the $$, but I wasn’t going to end up with a bad irreversible result.
I was provided with instructions including prescriptions for pain pills and antibiotics. I was told that I’d have the option to be given a sedative (Valium if I recall? Not sure.) But that if I took the sedative that I would not be allowed to leave the office on my own. I was travelling alone and really had no worries and wasn’t nervous so I didn’t take a sedative.
The day of the procedure we got off to a slow start…I was waiting for about 2 hours before we got down to business. But it wasn’t a big deal. Dr. Epstein asked if I would like to draw on my eyebrows how I wanted him and I said no, I know I don’t do it very well, and I’d defer to him and his assistant/nurse, Cynthia, to draw what they think would be best with my face and current brows. It didn’t hurt that Cynthia has beautiful brows so I knew I could trust her judgement. Dr. Epstein warned me that no one’s brows are perfectly symmetrical because no one’s face is perfectly symmetrical, so he would obviously try to make them as symmetrical as possible, which he did both by eyeballing it and by using a ruler to compare sides and angles etc. The blue marker did not look pretty, and it was hard to tell what the brows would end up looking like but again I trusted his and Cynthia’s judgement.
Next step was for him to take the strip of hair from the base of my head. He had numbed it so I didn’t feel a thing.
Then I was shown into the room where the procedure would be performed. I was in a standard doctor’s chair that was reclined, and was wearing a hospital gown on top, and a hair mask. Not pretty. Dr. Epstein made all of the holes that the grafts would be inserted into. He took care to angle them and place them in the proper direction to match natural eyebrow growth pattern. Then the nurses, Cynthia and Elsa, set themselves up on either side of my head and started doing their thing, which is one by one inserting grafts into the holes. Dr. Epstein came in to check how things were going a couple times during this time. I didn’t feel anything. It took about 3 hours if I remember correctly, maybe a little less. Although we had agreed upon a price based on estimated number of grafts, I told Dr. Epstein beforehand that I wanted them to be done right, so if he realized more grafts would look better once they got started, that I was willing to pay for more grafts. This is what happened, and he pre-authorized with me a specific amount more of grafts and had me confirm that I approved the added cost. This increased the cost of the procedure from $5k to about $6k…tough even to write that but it is what it is. It occurred to me I could’ve gotten a boob job for that much! Ha.
When they were done, I felt fine, they cleaned me up a bit and I switched into my clothes and headed back to Grand Central to catch my train home. I was aware that I looked like a freak, but figured I’m in New York City, people are used to seeing freaks! Basically, my eyebrows had all the new transplanted hairs but all of the holes/scabs made the whole area look dark. So basically I had medium blonde hair with what looked like big black eyebrows drawn on with a Sharpie. I just sucked it up and got over myself. When I got home I was a little disappointed to realized that my hair in base of my head had old cruddy blood that had stained the neck of the jacket I was wearing. I would have liked if they had washed up that hair a little better before I left. Again, no huge deal.
I had read that sometimes people are “passable” 1-2 days after an eyebrow transplant. This was NOT the case for me! My eyes and forehead were swollen and I bruised a lot. I’m lucky I work from home, but for at least a week had to hide under a hat and not get too close for people to see what I was hiding. So my advice would be to take that into account when you decide how much downtime you will have. Part of it matters if you are OK with telling people about it or if you want to fool everyone. I think people with dark hair could pull it off more, because aside from bruising and swelling, it was the very dark color of my brows/scabs that made me look ridiculous.
I followed post-care instructions, which entailed no water on them for a few days, and then a shower was allowed I think Day 4 or 5 but no direct stream of water on them. Once water could get on them they looked really gross because the tiny dots of “scabs” sort of get water logged and make it look like white soggy dots. You have to be careful to leave everything alone so that the grafts have time to secure themselves to their new home. You don’t want any sliding out or knocked in a different direction.
Aside from looking like a freak, the only discomfort I had was at the source incision on the back of my head. It was sore and annoying to try to sleep on, but I also wanted to sleep on my back so I didn’t accidentally jar any of the eyebrow grafts by mashing my face against a pillow. Even aside from sleeping, the discomfort of the incision on the back of my head remained for a couple of weeks. I was sick of it. Nothing extreme, but it gets old fast.
One trick I learned when I was doing research post-procedure, was a trick that when you are allowed to gently wipe the “scabs” away really helped. This was not part of Dr. Epstein’s instructions, but it worked really really well. Basically you gently wipe KY Lubricating Jelly on your brows, wait for a couple of minutes, then with a fine toothed comb you gently comb the brows in their natural directions, and it helps the little pieces of skin/scabs to gently glide off each hair. You don’t want to pull on the hairs at all, but at the same time the scabs get sort of stuck at the base of the hair, and this worked really well to solve that issue. I did this for several days until all scabs were cleared. So then my eyebrows were not dark-looking anymore, but the new look was the Ronald McDonald look. I mean to say that the skin under the brows was a darkish pink color. That being said, once the scabs were off, the skin was not raw or open in any way anymore, so around that time I could gently swipe some light taupe eyebrow shadow over them. This was when I started looking “passable” and this was one week out. My eyebrows still had a pink tinge to them but I was passable for the most part.
Probably 10-15% of the new hairs seemed to stay, but the rest of the new hairs shed, as I expected. Enough of the new hairs stayed to give me sort of an outline of the new shape of my brows, so I have been using that as a template to fill in with eyebrow shadow. It’s been 2.5 months now, and I continue to fill in my brows with makeup, but it’s needed less and less. Without makeup I would say my brows are at 80% filled in. There is still some thinness in areas, and both brows have gaps toward the head of the brow. Being that I’m not even 3 months out at this point I’m very happy with the progress. I will post updates every couple of months with photos so you can see the progression moving forward. I am happy I did this procedure, but rated it “Not Sure” just because I’m waiting for the final result. I’m quite sure I will be switching this to “Worth It” but $6k is a lot so I’ll defer final judgement for now.

marybt's provider

Jeffrey Epstein, MD, FACS

Jeffrey Epstein, MD, FACS

Hair Restoration Surgeon, Board Certified in Facial Plastic Surgery

4.6 | 229 Reviews
PROFILE

Replies (12)

User Avatar
December 24, 2015
Thank you! Planning this procedure soon myself. This was the most helpful review I've read.
January 8, 2016
Thank you so much for this incredibly honest and meticulously recorded journal. The pictures are very helpful! You look beautiful. I'm just wondering if you lost any of your original brow in the shedding stage and when did you feel comfortable to go about your life without hiding? Also, did you tell people or have people noticed? Does the hair growing in look natural? Do you feel like it looks like eyebrow hair? Thank you again!
January 15, 2016
Hi, i'm not sure if I lost much of my original brow in the shedding stage. I don't thin so. Once the scabbing/redness subsided after a week or so, I don't think I was any worse off than pre-procedure. After that first week, I started using eyebrow powder over the pinkness and too fill in brows, and no one seemed to notice. In fact, besides the slight pink tint, i think that even though i had to use brow powder, that my brows looked better because i had an "outline" to use with my new brow shape. No one has mentioned about noticing. I think this is because i was filling out my brows with makeup before this, so it wasn't a drastic difference- it's just that now more and more the new brow shape is actual hair and not makeup. The new hair does look natural like eyebrow hair. I will continue to post pics every month or so. It is getting better every day (gaps are filling in).
January 15, 2016
Thank you so much for your response! This sounds great :-) So you are happy you did the procedure? I thought your brows looked good before but do you feel that there is a big difference now that they are fuller with real hair? Do you notice a difference between your real hair and the grafted hair? Do you think you'll be able to stop using makeup all together? Are you happy with the shape? Do you remember how many grafts the dr used? Was it the strip method or just the follicles? I'm so sorry for so many questions but I'm thinking about doing it and your review is so detailed and helpful -- thank you SO much!
January 17, 2016
Hi! Yes I'm definitely happy I did it. There is a big difference before versus after, even at this early stage. Of course, not as dramatic as those people that start with literally no brows! I don't notice a difference between the grafted hair and the eyebrow hair. Based on the progress so far, I'm pretty sure I will eventually be able to have nice symmetrical brows without having to use makeup. Only time will tell, but they are already filling in a lot more than my last photo. I will post another one in early February when it will have been 4 months. I *think* the total number of grafts for both brows was like 675. This was more than I thought I'd need. I got the strip method. I read that that the grafts have a better survival rate doing it that way, and i don't care if there is a thin scar deep under my hair that no one will see. It's different for men if they want to wear their hair really short, but for women I'd definitely go with strip method. I think it's worth the better survival rate. Good luck with your decision!
January 18, 2016
Oh this is so great to hear! Thank you!! I'm really nervous about the strip method however… How was the healing? Was it really uncomfortable to sleep, shower, etc.. Again, you have been so unbelievably helpful -- I can't tell you how much I appreciate your words of wisdom! I've met with 2 drs already and have an appt with Dr. Halaas next week and Dr Epstein the following -- I'm VERY interested to hear what Dr. Epstein will say :-)
January 25, 2016
oh good luck! i definitely recommend Dr. Epstein. The healing was fine you just have to be patient. As far as discomfort goes, they eyebrows themselves had no discomfort...it was the incision on the back of the head that was uncomfortable for at least two weeks. It didn't hurt, it was just uncomfortable enough to get old and had me wishing it would just heal already. They eyebrows themselves also took (and are still taking) a lot of patience in the recovery. You just have to adjust your mindset to a 6 month recovery to go through all the phases. Of course the first 2 weeks or so is when you're trying to keep a low profile because you look strange. But after that it's just a long slow process of waiting for the new hairs to come in, dealing with the pink/peely skin, dealing with some blemishes on the eyebrows (for me started just before the 3 month mark and i continue to have about 2 at any given time), and of course, waiting for all of the new hairs to grow in. As long as you set your expectations it'll be fine. It's not exactly instant gratification, even though right from the start you can see the potential so it keeps you going knowing it's going to get better and better.
February 6, 2016
Hi there :-) How are you? How is everything growing in? So I met with Dr. Epstein and Roxy in the NY office and liked them both very much. You're right, Dr. Epstein is very kind and bright and down to earth. He recommended the FUG method but I'm so nervous about healing from the incision... I may try the FUE even though I'm also nervous about the shaved hair portion... Any more thoughts regarding FUG? I'm not a good sleeper and am worried about being sore for several weeks on the back of my head. Did you do dissolvable stitches? Are you still happy with your decision? Have you had to trim any hairs? Are they growing in a desirable direction? Do you have to use any product to train the hairs? Did you have grafts placed on top and below your natural brow? I'm thinking I'd only need grafts below my natural brow... Thank you again for all your help!
February 8, 2016
Hi! Tomorrow is my 4 month mark so I will be posting an updated photo, but let me answer your questions. I would definitely go with the strip method as long as you never plan on having a hairstyle that is shaved short in the back. The survival rate of the grafts is higher and I think that should be your main concern. For a about 2 weeks the incision is annoying, and will probably affect your sleep a little, but nothing major.If anything get sleeping pills or pain pills prescribed and plan on using them for that first 2 weeks. it's not pain, it's just annoying discomfort. I did have dissolvable stitches and I'm still very happy with my decision. I do trim the hairs probably more than I need to but I've always been a little OCD about eyebrow grooming. The hairs are all growing in in the right direction. They are still filling in but I'll guess 80-85% complete. I don't have to use any product...they just lay like they are supposed to. I did have hairs placed on top and below my natural brow. I thought i'd only need below too but turns out the way he drew them there were some on top and it looks right so no complaints. The only thing that is really annoying now is those cyst things that started just before month 3. I'm assuming they are random clogged follicles, but deep down. It's really annoying as my brows themselves are starting to look really good, but at the moment each brow has it's own blemish on it (pink bump deep down). Nothing that makeup can't help with but I'll be happy when they clear up! Photo to come tomorrow. :)
January 30, 2016
this seems very true..and well worded....I think the red bruseing above the eyes makes it look more noticeable,,because putting needles into your skin will puncture the skin and damage and mark it very easy...maybe some makeup would cover it??? I would have thought at least a month to heal up..never two or three days
January 31, 2016
Thanks so much for posting. I'm researching and you've been great information.
User Avatar
April 5, 2017
I have read many stories about eyebrows transplant but not many people to say about side affects such swelling, black and blue marks, bloody face, crust and scabs post procedure. I just had facial hair transplant on 3/25/17. I dont know the out come but I have been suffering since then. There are 10 days post procedure, my donor is still pain and tender. Many black and blue marks on my face became so yellow and I have to use concealment stick. However my neck are several red ring marks still there. I am hidden in my home for the past 10 days. Anyway, people always said, no pain no gain. I hope everything turn out for the best.
UPDATED FROM marybt
2 months post

Photos!

marybt
I took many photos during and immediately after the procedure. I will continue to post photos every month or so moving forward until the final results have been achieved.

Replies (6)

User Avatar
December 24, 2015

Thank you so much for taking the time to share your experience -- looking great so far! I can't wait to see your final results, be sure to keep us posted. ☺

December 26, 2015
Quite a story. Hope it all works out well.
December 29, 2015
Thank you so much for your review and all the pictures. You look great! I'm considering this procedure myself for similar reasons and it's really helpful to see your progress. I look forward to seeing more pics as time goes on!
January 31, 2016
Please, add more soon!! Looking forward to them. Thanks.
UPDATED FROM marybt
4 months post

4 month photos

marybt

Here I am at exactly 4 months. As you can see, the eyebrows are filling in nicely but I am dealing with these annoying blemishes. Both photos I have no eyebrow makeup at all, but one of them I used concealer to cover the annoying blemishes. I'm a little concerned about the one on the top of my right eyebrow, since it appears that it has prevented hairs from growing in. I"m hoping when the blemish goes away the hairs will grow in that spot. I called the dr. today and they will probably prescribe yet another round of antibiotics. This time I decided to be patient but the stupid things refuse to go away, even after a month or so.

Replies (13)

February 9, 2016
Hmm, I'm getting an error message even though the file size is small and it's in one of the accepted file types. I'll keep trying to figure it out and get the photos added.
February 10, 2016
Wow -- they look beautiful!! I love the shape and can't believe how full they are after only four months! It's difficult to see the bumps and they're completely hidden with the concealer but I know those can be painful... Have you tried clean and clear? It has salicylic acid which will kill bacteria... Do you notice a difference where the new hairs meet your old brow or does it all blend naturally?
February 10, 2016
Thanks, yea they've really started filling in in the last month. I use a bunch of acne type stuff on those cysts but nothing works...they are deep. They don't hurt they are just hard lumps and won't go away. They don't protrude much so that is good, but they are bright pink so makeup is needed. I talked to my dermatologist today and she thought I should go on antibiotics for longer (like 2 months) which is what they do for people with acne...just takes longer to clear up. I have a call in to Dr. Epstein's office so I'm waiting to hear what they want to do. To answer your question, i really can't tell the difference between my natural eyebrow hair and the transplanted hair. I think when they transplanted the hairs they interspersed them, but I'm just guessing. There is no delineation.
February 26, 2016

Hi, so I just booked an appt with Dr. Epstein and I am excited but also a bundle of nerves! You have been so incredibly helpful with your answers and pictures and generous details. I hope I'm not overstepping any bounds but is there any way we could talk on the phone -- I still have so many questions and would love to talk to you about some of your thoughts... thank you again for all of your help!

March 4, 2016
Sure, I emailed you.
User Avatar
February 14, 2016

Your eyebrows look great!

March 10, 2016
Thanks Eva!
February 28, 2016
Your eyebrows look great! I'm going to have this procedure soon myself, and I'm wondering what the doctor says to do about the cysts? Are they pimples/cysts that could be extracted by a facialist? Or would that harm the hair that's trying to grow in? Does the doctor say to leave them alone and rely only on the antibiotic to clear them up?
March 4, 2016
Hi, they are deep lumps definitely could not be extracted. Yes, leave them alone and rely on antibiotics. I think one of them (has damaged a small section of grafts, but I guess time will tell. I can always go back eventually and have the gap filled in. Annoying but not the end of the world.